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General NPI Number Information
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NPI Number | 1720219280
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Entity Type | Individual
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Provider Name | MATTHEW ROJO MFT
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Gender | Male
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 1535 N MAIN ST STE 250
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City | WALNUT CREEK
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State | CA
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Zip | 94596-4606
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Country | US
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Telephone | 925-315-8205
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Fax |
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Provider Business Mailing Address
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Address Line | 3956 EDGEMOOR PL
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City | OAKLAND
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State | CA
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Zip | 94605-2606
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Country | US
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Telephone | 415-820-1487
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Fax | 510-878-7369
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC46949
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License Number State | CA
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